Evidence map›Paper›PMID 16491423›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2006

The presentation of malignant tumours and pre-malignant lesions incidentally found on PET-CT.

Einat Even-Sapir, Hedva Lerman, Mordechai Gutman, Gennady Lievshitz, Limor Zuriel, Aaron Polliack, Moshe Inbar, Ur Metser

Abstract read
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Article in European journal of nuclear medicine and molecular imaging, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Returning Incidental Research Findings FromArthritis care & research · 2024
    Article
  4. Article
  5. Article
  6. Incidental analWorld journal of clinical cases · 2020
    Article
  7. The added benefit of contrast-enhanced CT in evaluation of incidental FDG-avid colon lesions.European journal of nuclear medicine and molecular imaging · 2020
    Article
  8. Article
  9. IncidentalEuropean journal of nuclear medicine and molecular imaging · 2020
    Article
  10. Article
  11. Review
  12. Incidental colorectal focalEndoscopy international open · 2017
    Article
  13. Article
  14. Unfolding the role of PET FDG scan in the management of thyroid incidentaloma in cancer patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2015
    Article
  15. Article
  16. Clinical significance of incidental FDG uptake in the prostate gland detected by PET/CT.International journal of clinical and experimental medicine · 2015
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Einat Even-SapirDepartment of Nuclear Medicine, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv, 64239, Israel. evensap@tasmc.health.gov.il
Hedva Lerman
Mordechai Gutman
Gennady Lievshitz
Limor Zuriel
Aaron Polliack
Moshe Inbar
Ur Metser

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of the study was to determine the general and organ-specific presentation of incidental primary tumours on PET-CT.

methodsPET-CT reports of 2,360 consecutive patients were reviewed and revealed 156 lesions suspicious for a new unexpected malignancy, in 151 patients. One hundred and twenty of these lesions, in 115 patients, were further assessed, by biopsy (n=84 patients) or by clinical and imaging follow-up (n=31 patients) for a mean of 17+/-4 months (range 12-25 months).

resultsForty-four unexpected malignancies were found in 41 of the study patients (1.7%). Twenty-seven of the 44 incidental tumours were identified on the basis of their location, which was uncommon for metastasis of the known malignancy. Eight were detected as a result of either the difference in FDG avidity of the known malignancy and the incidental lesion or the presence of an incidental non-FDG-avid mass on the CT part of the study. Four tumours were synchronous carcinomas in patients with known colorectal malignancy, three were identified by virtue of the discordant response to treatment compared with the known primary tumour and two were detected as new sites of disease after a prolonged disease-free period. There was organ variability in the positive predictive values (PPV) of PET-CT findings for incidental primary malignancy or pre-malignant lesions: 62% for colonic lesions, 54% for lung lesions and 24% for thyroid lesions.

conclusionIncidental primary tumours may be identified on PET-CT based on their location, FDG avidity, response to therapy and time of appearance. The PET and CT parts of the study appear to complement each other and assist in identification of these incidental tumours.

Indexed as

AdultAgedAged, 80 and overFemaleHumansIncidental FindingsIsraelMaleMiddle AgedNeoplasmsPositron-Emission TomographyPrecancerous ConditionsPrevalenceReproducibility of ResultsRetrospective StudiesRisk Assessment

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.